Individual provider Active NPI

Lisa Marie Bell, PH.D.

  • Clinical Psychologist
  • Canandaigua, NY
National Provider Identifier
1821017948
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022126 Issued in NY
Practice address
4261 Angela Way
Canandaigua, NY 14424-9654
Phone
(517) 381-1062
Fax
(517) 203-5057
NPI assigned
Jul 19, 2006
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 022126 NY Primary
Clinical Psychologist 103TC0700X 6301008842 MI

Addresses

Primary practice location

4261 Angela Way
Canandaigua, NY 14424-9654

Mailing address

PO Box 344
Okemos, MI 48805-0344
Phone (517) 203-5056

Other practice location 1

2109 Hamilton Rd Ste 218
Okemos, MI 48864-1700
Phone (517) 203-5056

Other identifiers 4

IdentifierTypeStateIssuer
022126OtherNYPSYCHOLOGY LICENSE NY
383619278OtherMIFEDERAL TAX ID
680C347210OtherMIBC/BS
6301009942OtherMIPSYCHOLOGY LICENCE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000752 MI Practitioner - Clinical Psychologist 1759412059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1745 Hamilton Rd
Suite 345
Okemos, MI 48864-1954
Phone (517) 203-5056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301008842MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology Associates LLC Clinical CurrentSince Jan 1, 2003 Accepting new patients

Locations

5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870

1745 Hamilton Rd
Ste 345
Okemos, MI 48864
Phone (517) 203-5056

2109 Hamilton Rd
Okemos, MI 48864
Phone (517) 381-2850

2109 Hamilton Rd
Ste 218
Okemos, MI 48864
Phone (517) 203-5056

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1821017948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488050344",
            "telephone_number": "517-203-5056",
            "fax_number": "517-203-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 ANGELA WAY",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249654",
            "telephone_number": "517-381-1062",
            "fax_number": "517-203-5057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Hamilton Rd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488641700",
            "country_code": "US",
            "telephone_number": "517-203-5056",
            "fax_number": "517-203-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022126",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE NY",
            "identifier": "022126",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "383619278",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "680C347210",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENCE #",
            "identifier": "6301009942",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.